Percutaneous nephroscopy procedure

The first step should be anesthesia, anesthesia satisfaction, the patient will take prone position or right lateral position, or left lateral position, if the right side, you can consider raising the left lateral position. After the body position is arranged, the puncture point can be selected under the guidance of b-ultrasound. After the puncture point is selected, puncture the kidney with the puncture needle. If there is clear urine flowing out, confirm that the puncture enters the renal pelvis. After entering the renal pelvis, pull out the needle core of the puncture needle, place the guide wire in the needle tube, withdraw the needle core, and then expand the puncture channel to f18~22 in turn. Then place the puncture sheath. After the puncture sheath is placed successfully, put it into the percutaneous nephroscope through the puncture sheath, and then find the position of the stone in the nephroscope. The stone will be crushed by holmium laser and rushed out of the body through the channel. After the operation, indwell the nephrostomy tube. This is the surgical process of percutaneous nephroscope.